Silna Health vs Tennr (2026)

Silna works with more than 1,000 payers across 50 states, calling insurers for benefits and authorization status and submitting through their portals. On the provider side it connects to the EHR and practice management systems ABA providers already use, CentralReach and Catalyst among them, so insurance work runs alongside the clinic's existing setup. The list of practice systems is short and centered on ABA platforms, and whether authorization results flow back into them is unclear.

SourceSilna Health, silnahealth.com, /aba-therapy, engineering.silnahealth.com/posts/autonomous-browser-agents-enterprise and /posts/building-phone-agents-healthcareread 2026-10-09

Charts and orders update automatically where they need to reflect changes. Autopilot writes extracted patient data into connected systems, which removed 12 manual entry points at one supplier. The product compiles and submits prior authorization packets and calls, texts and emails patients, payers and prescribers. Tennr does not name the EHRs and pharmacy systems it writes to.

Sourcetennr.comread 2026-09-29

The prior authorization lifecycle runs from expiration tracking and weekly reminders through form generation, submission and continual payer follow up. It branches as requests for additional information or resubmission raise alerts, denials move to appeal and Medicaid plan switches are flagged so authorizations can be resubmitted to the new plan. For ABA the same lifecycle covers initial assessments, concurrent reviews and reauthorizations. Behind it, document validation rules combine with AND and OR logic into configurations, and a graph decides which rules apply to each document type.

SourceSilna Health, silnahealth.com/prior-authorization, /insurance-monitoring, /aba-therapy and engineering.silnahealth.com/posts/document-validationread 2026-10-09

Inbound documents are classified and routed into workflows. Authorization status and medical necessity criteria decide the next step. Tennr either completes and submits the order, reaches out for what is missing, or escalates to staff the parts needing expert judgment. Autopilot runs high confidence steps automatically, and the customer chooses which steps it runs.

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Work starts without staff: weekly expiration reminders, recurring eligibility and benefit checks, real time monitoring of every active patient's coverage, automatic detection of new insurance and Medicaid plan switches, and phone agents that call payers to check whether a submitted authorization was approved. For ABA, authorized hours remaining and upcoming reauthorization deadlines are tracked continuously so renewals go out before therapy is interrupted.

SourceSilna Health, silnahealth.com/insurance-monitoring, /prior-authorization, /aba-therapy and engineering.silnahealth.com/posts/building-phone-agents-healthcareread 2026-10-09

Work starts when faxes, portal submissions, e-prescribe and email orders arrive. Tennr classifies and routes each inbound referral and follows up by phone, text and email until the order is unblocked, with no one at the provider initiating it.

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Silna maintains an always current database of each payer's prior authorization requirements per specialty, kept by its Payor Intelligence team from payer bulletins and the thousands of authorizations it processes each week, and applies it to form generation and document validation so providers never track the rules themselves. Predictive Document Intelligence reads diagnosis reports, treatment plans and progress notes with multimodal models and checks them against those criteria before submission, ABA treatment plans and progress reports included, and Silna reports a 98 percent first pass acceptance rate for requests it validates.

SourceSilna Health, silnahealth.com/prior-authorization, /aba-therapy, /resources/best-prior-authorization-software and engineering.silnahealth.com/posts/document-validationread 2026-10-09

Documentation is checked against a library of service code to payer criteria mappings that Tennr keeps up to date across every product a provider supplies. Health systems can apply their own care management criteria. New criteria enter the library instead of going into a retrained model.

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What persists sits on Silna's side: the payer requirements database and the growing record of reviewer corrections that shapes later submissions. The agents work from those shared stores and each authorization's own record, with no memory of a clinic or patient that has its own scope or lifetime.

SourceSilna Health, silnahealth.com and engineering.silnahealth.com/posts/beyond-the-agentread 2026-10-06

Each referral is processed from its own documents and the payer criteria library. Tennr names no agent memory.

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Staff stay in the loop where judgment matters. When document validation finds a gap against the payer's criteria, the provider reviews it and decides whether to update the documents or submit as they are, and requests for more information, resubmissions and appeals come back to the team as alerts. Behind the agents, Silna sends a set share of submissions to its own QA reviewers, who can override and correct the agent's work. Routine requests go out without staff touching each one, so there is no clinic sign off before a standard submission reaches the payer.

SourceSilna Health, silnahealth.com/prior-authorization, /resources/best-prior-authorization-software, engineering.silnahealth.com/posts/document-validation and /posts/beyond-the-agentread 2026-10-09

Autopilot completes high confidence work automatically. Items needing verification go to staff review queues, and only the parts requiring expert judgment are escalated. The customer chooses which steps run on Autopilot. Automated work commits without an approval step.

Sourcetennr.com/customer-stories/performance-home-medicalread 2026-09-29

Security starts with SOC 2 Type II certification through Vanta, operation under HIPAA and a pledge to treat patient confidentiality as a priority. On the agent side, each browser session is tied to a single provider through row level security, so one clinic's agent cannot reach another clinic's records. There is no single sign on or role management for a clinic's own staff.

SourceSilna Health, silnahealth.com and engineering.silnahealth.com/posts/autonomous-browser-agents-enterpriseread 2026-10-06

Tennr displays HIPAA Compliant and SOC II Compliant badges and does not state its SOC 2 type. It names no SSO, roles or permissions that a customer operates. The only access control policies it describes are internal ones.

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Clinics follow each authorization from submission to approval on a dashboard, with approvals passed along as they arrive. Inside Silna, every inference call and tool execution of a browser agent is saved as a pipeline step and each session gets a quality score from 0 to 100, a record that serves Silna's own engineers and reviewers. Clinics see status and outcomes rather than the agent's step by step trail.

SourceSilna Health, silnahealth.com/prior-authorization and engineering.silnahealth.com/posts/beyond-the-agentread 2026-10-06

Referrers and staff see real time status and to-dos per order. Autopilot shows field by field confidence, and dashboards track processing times, conversion and denials. Tennr names no audit log and no record, referral by referral, of the actions the agent took.

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The service is hosted. Its browser agents operate in sandboxed sessions on Silna's own self hosted Kasm Workspaces deployment, which isolates each session from the next and keeps agent activity off the clinic's own machines. There is no region choice, customer cloud or on premises option.

SourceSilna Health, silnahealth.com and engineering.silnahealth.com/posts/autonomous-browser-agents-enterpriseread 2026-10-06

Hosting and cloud providers come up only as a category of vendor Tennr uses. Tennr names no hosting provider or region, no residency choice and no option to run in the customer's environment.

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Silna sells one Care Readiness Platform built from prior authorizations, benefit checks, insurance monitoring and payor discovery, with prior authorizations priced at $35 each. These work as parts of one service rather than separate agents a clinic switches on, and there is no template or agent library. Customers include Behavior One Autism Solutions, Autism Learning Partners, ABS Kids, AnswersNow, HealthPro Heritage and Elite Alliance Physical Therapy.

SourceSilna Health, silnahealth.com and /resources/best-prior-authorization-softwareread 2026-10-09

The product comes as an Automation Suite, Intelligent Triage, Workflow Orchestration, Communications Coordination and Autopilot. These are stages and modes of one referral pipeline, not products that stand alone. A product catalog is offered as a download. The specialty solutions describe customer segments.

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Models are picked for each payer portal after testing cost, context window, intelligence and speed, and production traffic can be split between models that perform equally, for example half to Haiku 4.5 and half to GPT 5.4. The phone agents use Deepgram for speech recognition and ElevenLabs for speech, and the customer has no choice of model.

SourceSilna Health, engineering.silnahealth.com/posts/beyond-the-agent and /posts/building-phone-agents-healthcareread 2026-10-06

Document reading and payer criteria matching run on Tennr's own purpose built models (RaeLM). Tennr names no third party model provider and no way for customers to choose a model.

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Authorizations can be followed from submission to approval through an API as well as Silna's dashboard, which gives a clinic's other systems a way to track them. There is no public API reference, SDK or MCP server, and the agents themselves work through payer portals, payer phone lines and Silna's own app.

SourceSilna Health, silnahealth.com/resources/best-prior-authorization-softwareread 2026-10-09

There is no public API, SDK, webhook or MCP surface, and the site has no developer pages.

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An in house Experiments platform sets what share of prior authorizations each portal agent submits with no human touch and routes a share of agent submissions to human QA, comparing human and AI results, and specialist reviewers flag minor or major errors to build a dataset of where the agent was wrong. Models are tested per portal in a sandbox on production infrastructure for duration, token use and accuracy, and every session gets a score from 0 to 100 for execution quality, apart from its final outcome.

SourceSilna Health, engineering.silnahealth.com/posts/beyond-the-agentread 2026-10-06

Autopilot exposes field by field confidence and accuracy measures that a team uses to decide which steps to automate. Tennr does not say how accuracy is measured or whether it gates changes.

Sourcetennr.com/customer-stories/performance-home-medicalread 2026-09-29

Browser agents work payer portals on their own, logging in with 2FA, navigating complex legacy interfaces, entering clinical data and recording approvals, across Blue Cross, Aetna, United and dozens of other portals, inside sandboxed browser sessions. They now handle nearly half of all prior authorizations and are trained to stop and ask for help rather than guess when stuck. Phone agents navigate payer phone menus to retrieve plan details.

SourceSilna Health, engineering.silnahealth.com/posts/autonomous-browser-agents-enterprise, /posts/beyond-the-agent and /posts/building-phone-agents-healthcareread 2026-10-06

Portals appear as intake sources, and outreach runs by phone, text and email, not through a screen. Tennr names no browser, desktop or portal operation by the agent.

Sourcetennr.com/solutions/dmeread 2026-09-29